HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/25/2021 Permit Number:
Sao LLUMLE
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 3720 WESTCHESTER CT
Property Tax ID #: 3425-705-0063-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK;
LIKE FOR LIKE 3.5 TON 14 SEER PACKAGE UNIT WITH 10 KW HEATER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Add' ional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4375.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DONALD & MARGARET WALSH
Name: CURTIS SAMMONS
Address: 3720 WESTCHESTER CT
Company: CUSTOM AIR SYSTEMS INC
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
Phone No. 860-434-7131
Address: 1615 SE VILLAGE GREEN DR
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax: 772-335-1968
Phone No 772-335-3232
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail CUSTAIRSYS@AOL.COM
State or County License CAC051810
�• ��..V U1 Irwre, d mrt-uKutu ryoiice or commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNE
Name:_
Address:
City: —
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
_ Not Applicable
State
Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: ^Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorneybefore commencing work or recording our Notice of Commencement.
iSignature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 97 c, U G6 f_
COUNTY OF 5 r L cs % c -2
Sworn to (or affirmed) and subscribed before me of
Swojn to (or affirmed) and subscribed before me of
✓ Physical Prese ce or Online Notarization
� —
` ✓ Ph sical Presence or Online Notarization
Pt
this day of 2021 by
i this day of i 2026 by
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Name of person making statement.
Name of person making statement.
i
Personally Known �_ OR Produced Identification
J
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of N tary Pu c- State of Florida)
Signature of Notary Pub -State of Foa)
CHRISTWE B. Dan
CHRISTINE B. E
CayreitsionIHH06
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REVIEWS
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SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
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RECEIVED
DATE
COMPLETED
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CUSTOM AIR SYSTEMS INC. SALES * SERVICE * INSTALLATION *
1615 SE. VILLAGE GREEN DR. PORT ST. LUCIE FL.34952
335-3232 465-0559 562-2777 FAX (772)335-1968
CAC051810
CARRIER * RUUD * LENNOX * TRANE * AIR CONDITIONERS
August 18, 2021
NAME: DONALD & MARGARET WALSH
PHONE: 860-434-7131
EMAIL:
JOB NAME/ADDRESS: 3720 WEST CHESTER CT PSL, FL 34952
WE PROPOSE TO: REPLACE EXISTING AIR AND HEATING SYSTEM.
BID INCLUDES THE FOLLOWING.
1� 4s. TON SYSTEM WITH 10 KW ELECTRIC STRIP HEAT. (SEE OPTIONS BELOW)
2. A/C SLAB IF NEEDED
3. CONNECT TO EXISTING HIGH AND LOW VOLTAGE WIRING. (BREAKERS AS NEEDED)
4. PERMIT (INSPECTION BY CITY REQUIRED)
5. CONNECT TO EXISTING DUCT SYSTEM
6. DIGITAL THERMOSTAT
7. TIE DOWN BRACKETS
B. ONE YEAR LABOR WARRANTY
9. FIVE YEAR BRYANT PARTS WARRANTY.10 YEAR PARTS WHEN REGISTERED IN 30 DAYS OF
INSTALLATION.
ARCOAIRE 4 TON 14 SEER SYSTEM.
FOR THE SUM OF: $ 4,605.00
IF PAID BY CHECK: $ 4,375.00
QUOTE GOOD FOR 30 DAYS
TO BE PAID: AT TIME OF SERVICE.
PAJ442000KTPOA, 10 KW HEAT
ACCEPTED ...........................
INITIAL
SIGNED. Yi!C�' ........
RONNIE LAUCH
CUSTOM AIR SYSTEMS INC.
Construction industries recovery fund: Payment may be available from the construction industries recovery fund if you lose money on a project performed
under contract, where the loss results from specified violations of Florida law by a state -licensed contractor. for information about the recovery fund and filing
a claim, contact the Florida construction industry licensing board.
Phone: 850487-1395 mailing address: DBPR customer contact, 1940 N. Monroe St., Tallahassee, FL. 32399-0786
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